# ECHELON SPORTS MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Provision Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932528338
- **Authorized official:** DR. KEVIN SPROUSE D.O. (OWNER)
- **Authorized official phone:** (865) 309-5551

## Contact information

- **Practice address:** 1400 DOWELL SPRINGS BLVD, SUITE 140, KNOXVILLE, TN 37909-2456
- **Practice address phone:** (865) 232-1408
- **Mailing address:** 510 OAKHURST DR, KNOXVILLE, TN 37919-6643
- **Mailing address phone:** (865) 309-5551
- **Mailing address fax:** (865) 381-1967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2248 | TN | Yes |

## Other

- **Enumeration date:** 04/14/2014
- **Last updated:** 04/14/2014